COVID-19对下颌干窝发生的影响

IF 1 Q3 SURGERY
Navid Kazemian, Mozhgan Khorami, Ricardo Grillo, Haleh Hashemzadeh, Erfan Bardideh, Khashayar Family, Alireza Ebrahimpour, Sahand Samieirad
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引用次数: 0

摘要

背景:牙槽骨炎(AO),俗称干槽,是拔牙后公认的并发症,尤其常见于下颌第三磨牙拔牙后。鉴于冠状病毒病(COVID-19)的全球大流行及其对内皮和血液学变化的影响,研究其对下颌第三磨牙拔牙患者干槽风险的潜在影响至关重要。方法:我们回顾了2022年在伊朗马什哈德马什哈德牙科学校接受下颌第三磨牙拔牙的患者记录。数据包括人口统计、病史、吸烟状况和COVID-19详细信息,如病史、住院和疫苗接种状况。结果:临床检查诊断为牙槽骨炎,评估血凝块的存在和局部淋巴结炎。119例患者(女性82例,男性37例)中,49.6%的患者拔牙后出现干槽,94.1%的患者有COVID-19病史,32.7%的患者因病住院。97.5%的患者接种了新冠肺炎疫苗。此外,44.5%的患者有全身性疾病史,45.4%的患者使用相关药物,未观察到与干窝的关联。结论:本研究强调了使用皮质类固醇、口服避孕药、吸烟和COVID-19住院治疗与下颌第三磨牙拔牙后干槽的风险增加有关。女性的患病风险明显高于男性。虽然没有发现COVID-19感染与干窝之间的显著联系,但考虑到COVID-19患者和因COVID-19住院的干窝病例数量很大,该研究强调了进一步研究的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COVID-19 Influence on Mandibular Dry Socket Occurrence.

Background: Alveolar osteitis (AO), commonly known as dry socket, is a recognized complication following tooth extraction, particularly prevalent after mandibular third molar extractions. Given the global pandemic of coronavirus disease (COVID-19) and its implications for endothelial and hematologic changes, investigating its potential impact on dry socket risk in patients undergoing mandibular third molar extraction is crucial.

Methods: We reviewed patient records from individuals undergoing mandibular third molar extraction at Mashhad Dental School, Mashhad, Iran in 2022. Data included demographics, medical history, smoking status, and COVID-19 details such as history, hospitalization, and vaccination status.

Results: Clinical examinations diagnosed alveolar osteitis, assessing for blood clot presence and local lymphadenitis. Out of 119 patients (82 females, 37 males), 49.6% developed dry socket post-extraction, with 94.1% having a history of COVID-19 and 32.7% requiring hospitalization due to the disease. 97.5% of patients were vaccinated against COVID-19. Additionally, 44.5% had systemic disease history, and 45.4% used related medications, with no observed associations with dry socket.

Conclusion: This study underscores the increased risk of dry socket following mandibular third molar extraction associated with corticosteroid use, oral contraceptive use, smoking, and COVID-19 hospitalization. Females exhibited a significantly higher risk compared to males. While no significant COVID-19 infection-dry socket link was found, the study highlights the need for further research, given the significant number of dry socket cases among COVID-19 patients and those hospitalized due to COVID-19.

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